高压氧对颅脑外伤昏迷患者康复效果及护理探讨.docVIP

高压氧对颅脑外伤昏迷患者康复效果及护理探讨 　　[摘要] 目的 观察高压氧对颅脑外伤昏迷患者的康复效果。方法 选择颅脑外伤昏迷患者50例，随机划分为对照组和治疗组各25例，对照组采取常规治疗，治疗组采取高压氧治疗，比较两组的治疗效果。结果 治疗组的平均苏醒时间为（15±1.5）d，明显少于对照组的（20±1.2）d ， 差异具有统计学意义（P ＜0.05）。治疗组的总有效率为88%，显著高于对照组的68%， 差异具有统计学意义（P ＜0.05）。 结论 颅脑外伤昏迷患者早期采取高压氧治疗，并做好入舱前的护理以及加压、稳压、减压过程的护理，不但可有效减轻或消除患者的后遗症，并能挽救更多患者的生命。 　　[关键词] 颅脑外伤；高压氧；治疗 　　[中图分类号] R473.6[文献标识码] B[文章编号] 1673-9701（2014）16-0096-02 　　 　　Hyperbaric oxygen for patients with traumatic brain injury coma rehabilitation and nursing explore 　　SUN Huiwen 　　Department of Hyperbaric Oxygen,Shandong Zibo Mining Group Co., Ltd Central Hospital，Zibo255120, China 　　[Abstract] Objective To observe the rehabilitation effect of oxygen on patients with traumatic brain injury coma. Methods A total of 50 patients with traumatic brain injury coma were randomly divided into control group and treatment groups with 25 patients，the control group received conventional nursing，thetreatment group took hyperbaric oxygen therapy, effects and care discussion were compared. Results The average recovery time for the treatment group (15±1.5) days, was significantly less the control group（P ＜0.05）. The total effective rate of treatment group was 88%, was significantly higher than the control group（P ＜0.05）. Conclusion Unconscious traumatic brain injury patients to take an early hyperbaric oxygen therapy, and good care Rucang before, and the pressure, the regulator, the nursing process of decompression, not only effectively reduce or eliminate the aftermath of the patients and save more lives of patients. 　　[Key words] Traumatic brain injury; Hyperbaric oxygen; Treatment 颅脑外伤是常见的一种外伤，表现为昏迷、脑缺氧、脑水肿等症状。颅脑外伤采取手术和药物治疗一般均会留下后遗症，特别是昏迷的患者难以清醒，甚至有些患者会长期昏迷已成为植物人。高压氧治疗能有效消除患者的脑水肿，改善缺氧缺血，并促进患者的昏迷觉醒和康复。颅脑外伤昏迷的患者通过高压氧治疗，进行良好的护理也尤为重要。 　　 　　1 资料与方法 　　1．1 一般资料 　　本组对象 50例，其中男32例，女18例，年龄15～60岁，平均（39.2±4.5）岁。交通事故伤36例，打击伤5例，坠落伤9例。其中脑外伤综合征6例，硬膜外血肿16例，脑干损伤2例，脑挫裂伤26例。随机分为治疗组和对照组各25例，两组的性别、年龄等一般资料比较，差异不显著。 　　1．2 方法 　　对照组常规治疗，使用神经营养药和苏醒药，并给予脱水等支持治疗，使患者持续低流量吸氧。治疗组采用